A scoping review of the working alliance in acquired brain injury rehabilitation

Abstract Background Swallowing impairment (dysphagia) following brain injury can lead to life-threatening complications such as dehydration, aspiration pneumonia and acute choking episodes. In adult therapeutic practice, there is research and clinical evidence to support the use of swallowing exercises to improve swallowing physiology in dysphagia; however, the use of these exercises in treating children with dysphagia is largely unexplored. Fundamental questions remain regarding the feasibility and effectiveness of using swallowing exercises with children. This review aims to outline the published literature on exercise-based treatment methods used in the rehabilitation of dysphagia secondary to an acquired brain injury across the lifespan. This will allow the range and effects of interventions utilised to be mapped alongside differential practices between adult and child populations to be formally documented, providing the potential for discussions with clinicians about which rehabilitative interventions might be appropriate for further trial in paediatrics. Methods This study will use a scoping review framework to identify and systematically review the existing literature using Joanna Briggs Institute (JBI) and Preferred Reporting Items for Systematic Reviews (PRISMA) scoping review guidelines. Electronic databases (MEDLINE, PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL) and Allied and Complementary Medicine Database (AMED)), grey literature and the reference lists of key texts including systematic reviews will be searched. Information about the rehabilitation design, dosage and intensity of exercise programmes used as well as demographic information such as the age of participants and aetiology of dysphagia will be extracted. The number of articles in each area and the type of data source will be presented in a written and visual format. Comparison between the literature in adult and child populations will be discussed. Discussion This review is unique as it directly compares dysphagia rehabilitation in adults with that of a paediatric population in order to formally identify and discuss the therapeutic gaps in child dysphagia rehabilitation. The results will inform the next stage of research, looking into the current UK-based speech and language therapy practices when working with children with acquired dysphagia. Systematic review registration Open science framework osf.io/ja4dr

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Assessment tools and rehabilitation treatments for aprosodia following acquired brain injury: A scoping review

International Journal of Language & Communication Disorders ◽

10.1111/1460-6984.12692 ◽

2021 ◽

Author(s):

Valentina Benedetti ◽

Agnès Weill‐Chounlamountry ◽

Pascale Pradat‐Diehl ◽

Marie Villain

Keyword(s):

Brain Injury ◽

Scoping Review ◽

Acquired Brain Injury ◽

Assessment Tools

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Acquired Brain Injury Rehabilitation: What Can HRV Tell You?

ECG Time Series Variability Analysis ◽

10.4324/9781315372921-14 ◽

2017 ◽

pp. 311-326

Author(s):

Ian J. Baguley ◽

Melissa T. Nott

Keyword(s):

Brain Injury ◽

Acquired Brain Injury ◽

Injury Rehabilitation

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Protocol for a scoping review study to identify and map treatments for dysphagia following moderate to severe acquired brain injury

BMJ Open ◽

10.1136/bmjopen-2019-029061 ◽

2019 ◽

Vol 9 (7) ◽

pp. e029061

Author(s):

Signe Janum Eskildsen ◽

Daniela Jakobsen ◽

Christian Gunge Riberholt ◽

Ingrid Poulsen ◽

Derek John Curtis

Keyword(s):

Brain Injury ◽

Scoping Review ◽

Research Question ◽

Acquired Brain Injury ◽

Research Literature ◽

Cochrane Library ◽

High Morbidity ◽

Cochrane Central Register ◽

Severe Acquired Brain Injury ◽

Dysphagia Treatment

IntroductionDysphagia is highly prevalent in patients with acquired brain injury (ABI) and is associated with high morbidity and mortality. However, dysphagia management varies greatly between units and internationally, and there is currently no consensus, standard intervention or treatment. A review mapping the existing literature on dysphagia treatment is needed. In this paper, the protocol for a scoping review to identify and map dysphagia treatment following ABI is outlined.ObjectiveThe objective of the scoping review is to systematically map the existing research literature to answer the research question:Which non-surgical, non-pharmacological interventions are used in the treatment of dysphagia in patients with moderate and severe acquired brain injury in the acute and subacute phase?Methods and analysisThe methodological framework for the study is based on methodology by Arksey and O’Malley and methodological advancement by Levacet al. We will search electronic databases in June 2019: MEDLINE (Ovid); Cochrane Central Register of Controlled Trials (CENTRAL, The Cochrane Library); EMBASE (Ovid); CINAHL (EBSCO); PsycINFO; Science Citation Index Expanded on Web of Science; OTseeker; Speechbite and PEDro. The search terms will be limited to patients with moderate to severe ABI and dysphagia. Four review authors will independently conduct an initial screening of title and abstract and subsequent full-text review of included studies. Data will be extracted and summarised in diagrammatic or tabular form (numerical summary), and a descriptive format (narrative summary). The strategy for data synthesis entails qualitative methods to categorise the interventions based on the treatment modality and subgroup diagnosis.Ethics and disseminationScoping the existing literature will provide a foundation for further evaluating and developing our dysphagia treatment and inform future studies assessing the effectiveness of treatments. The review is part of an ongoing expansive research into dysphagia. The results will be disseminated through a peer-reviewed publication and conference presentations.

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